Provider Demographics
NPI:1942899364
Name:SWIECZKOWSKI, SEAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:SWIECZKOWSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SE 5TH ST APT 1107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2512
Mailing Address - Country:US
Mailing Address - Phone:305-282-4269
Mailing Address - Fax:
Practice Address - Street 1:3661 S MIAMI AVE STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4206
Practice Address - Country:US
Practice Address - Phone:305-285-2762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist